NPI | 1326573890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021815) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CA 95104579) |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA 553361) | |
Enumeration Date | 2017-04-21 |
Last Update Date | 2024-10-06 |