NPI | 1467911495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95311152) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP141031) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2024-03-25 |