NPI | 1346843281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013848) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95013848) |
Enumeration Date | 2020-11-20 |
Last Update Date | 2023-06-19 |