NPI | 1437553039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005372) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 059512-23) |
Enumeration Date | 2014-10-10 |
Last Update Date | 2016-12-06 |