NPI | 1437286093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA Cert # 14913) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA R402512) |
363LF0000X Nurse Practitioner, Family (Licence: CA 402512) | |
363LF0000X Nurse Practitioner, Family (Licence: CA R402512) | |
Enumeration Date | 2007-02-28 |
Last Update Date | 2018-03-17 |