NPI | 1306618574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95026144) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95026144) |
Enumeration Date | 2023-10-23 |
Last Update Date | 2023-10-23 |