NPI | 1326535105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95006625) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95006625) |
Enumeration Date | 2018-04-17 |
Last Update Date | 2023-02-01 |