NPI | 1285363846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021001) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021001) |
Enumeration Date | 2022-06-08 |
Last Update Date | 2024-07-14 |