NPI | 1497361638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95030150) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704293321) |
Enumeration Date | 2020-09-22 |
Last Update Date | 2025-01-27 |