NPI | 1215500061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95018270) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95042398) |
Enumeration Date | 2021-07-20 |
Last Update Date | 2023-05-25 |