NPI | 1497261614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007415) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95007415) |
Enumeration Date | 2017-12-26 |
Last Update Date | 2017-12-26 |