NPI | 1306456223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015060) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95015060) |
Enumeration Date | 2020-08-05 |
Last Update Date | 2021-09-09 |