NPI | 1326885955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95031041) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95031041) |
Enumeration Date | 2024-07-11 |
Last Update Date | 2024-11-01 |