NPI | 1306520531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028437) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX L-84566) |
Enumeration Date | 2023-06-08 |
Last Update Date | 2024-08-15 |