NPI | 1245794544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009425) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9395222) |
Enumeration Date | 2019-01-31 |
Last Update Date | 2019-01-31 |