NPI | 1245003904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95027946) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95250368) |
Enumeration Date | 2023-11-03 |
Last Update Date | 2023-11-28 |