NPI | 1457937971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95026524) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F02211170) |
Enumeration Date | 2021-03-23 |
Last Update Date | 2024-02-14 |