NPI | 1417793670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95030908) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95030908) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95030908) | |
Enumeration Date | 2024-07-06 |
Last Update Date | 2024-07-06 |