NPI | 1265770432 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 22721) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 22721) |
Enumeration Date | 2013-01-23 |
Last Update Date | 2025-08-06 |