NPI | 1225278138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP18682) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1251) |
363LF0000X Nurse Practitioner, Family (Licence: HI APRN-RX296) | |
Enumeration Date | 2009-03-05 |
Last Update Date | 2016-09-02 |