NPI | 1477387405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95031738) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 95031738) |
Enumeration Date | 2024-08-30 |
Last Update Date | 2024-09-20 |