NPI | 1437158987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP 15330) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 15330) |
Enumeration Date | 2005-07-18 |
Last Update Date | 2020-06-29 |