NPI | 1295100931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002026) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TX AP129125) |
Enumeration Date | 2015-12-07 |
Last Update Date | 2022-11-03 |