NPI | 1326770504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021445) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2347775) |
163W00000X Registered Nurse (Licence: CA 95282803) | |
Enumeration Date | 2022-06-27 |
Last Update Date | 2024-03-05 |