NPI | 1457093445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: CA 95258793) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95032270) |
Enumeration Date | 2022-04-10 |
Last Update Date | 2024-11-05 |