NPI | 1427694033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029349) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178419) |
Enumeration Date | 2019-11-19 |
Last Update Date | 2024-08-08 |