NPI | 1437299765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 14521F) |
Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: CA 209483) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2023-05-04 |