NPI | 1396409827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021019) |
Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: PA RN606983) |
Enumeration Date | 2021-10-31 |
Last Update Date | 2022-11-14 |