NPI | 1306886239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA DEA MM0992594) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA RN425205) |
363L00000X Nurse Practitioner (Licence: CA NP10802) | |
Enumeration Date | 2006-06-08 |
Last Update Date | 2025-07-22 |