NPI | 1356613293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20896) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 20896) |
Enumeration Date | 2012-02-08 |
Last Update Date | 2025-02-17 |