NPI | 1295166403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95000501) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN208844) |
363LP2300X Nurse Practitioner, Primary Care (Licence: NY 743288) | |
Enumeration Date | 2013-12-13 |
Last Update Date | 2023-08-23 |