NPI | 1295310399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010840) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95053970) |
Enumeration Date | 2021-03-10 |
Last Update Date | 2024-06-25 |