NPI | 1316347578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022851) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2014-08-25 |
Last Update Date | 2023-01-20 |