NPI | 1447911029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95030880) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 205927) |
Enumeration Date | 2022-01-05 |
Last Update Date | 2025-07-24 |