NPI | 1316627151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95026030) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95165114) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95026030) | |
Enumeration Date | 2023-07-18 |
Last Update Date | 2023-07-18 |