NPI | 1215680517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029876) |
Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: CA 95220133) |
Enumeration Date | 2022-01-27 |
Last Update Date | 2024-04-27 |