NPI | 1285393181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95019337) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95019337) |
Enumeration Date | 2021-12-08 |
Last Update Date | 2024-08-01 |