NPI | 1427119973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 15959) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 15959) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2023-11-17 |