NPI | 1265943203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F08170134) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 79420) |
Enumeration Date | 2017-10-17 |
Last Update Date | 2024-05-17 |