NPI | 1447903869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019264) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95019264) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-01-27 |
Last Update Date | 2025-08-05 |