NPI | 1356822951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009783) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A117656) |
Enumeration Date | 2018-08-22 |
Last Update Date | 2024-04-06 |