NPI | 1437852985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95024930) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95245076) |
Enumeration Date | 2023-03-23 |
Last Update Date | 2024-10-23 |