NPI | 1407416837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95011569) |
Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA 95011569) |
Enumeration Date | 2019-06-18 |
Last Update Date | 2021-07-08 |