NPI | 1497170286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95005901) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014007466) |
363LF0000X Nurse Practitioner, Family (Licence: KS 76281) | |
Enumeration Date | 2014-03-03 |
Last Update Date | 2022-07-21 |