NPI | 1427094333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 14049) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 14049) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2017-11-20 |