NPI | 1255949897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95019923) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 95208674) |
163WC1500X Registered Nurse, Community Health (Licence: MA 2319162) | |
Enumeration Date | 2020-07-20 |
Last Update Date | 2024-03-29 |