NPI | 1285344788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021092) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CA 95021092) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95021092) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95021092) | |
Enumeration Date | 2022-11-25 |
Last Update Date | 2022-11-26 |