NPI | 1346801719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95018772) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CA 95200885) |
172V00000X Community Health Worker | |
Enumeration Date | 2019-06-25 |
Last Update Date | 2022-11-03 |