NPI | 1326501503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95011562) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011562) |
Enumeration Date | 2019-04-13 |
Last Update Date | 2023-10-10 |