NPI | 1447594965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017349) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250196NP) |
Enumeration Date | 2012-11-21 |
Last Update Date | 2022-04-21 |