NPI | 1316583396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017467) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95188959) |
Enumeration Date | 2019-11-25 |
Last Update Date | 2023-05-15 |