NPI | 1447903877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020272) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95127384) |
363L00000X Nurse Practitioner (Licence: CA 95020272) | |
Enumeration Date | 2022-01-26 |
Last Update Date | 2023-07-24 |