NPI | 1275053753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025302) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 95116594) |
Enumeration Date | 2017-06-26 |
Last Update Date | 2023-09-22 |