NPI | 1407407059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012798) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95012798) |
Enumeration Date | 2019-09-25 |
Last Update Date | 2020-06-05 |