NPI | 1497292411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95006111) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95006111) |
Enumeration Date | 2017-01-28 |
Last Update Date | 2022-03-18 |