NPI | 1215327119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001951) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61169572) |
Enumeration Date | 2015-01-29 |
Last Update Date | 2024-09-17 |