NPI | 1306333794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3619) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008911) |
Enumeration Date | 2018-04-20 |
Last Update Date | 2023-08-28 |