NPI | 1497440119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95024272) |
Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: CA 95210559) |
Enumeration Date | 2023-04-07 |
Last Update Date | 2023-04-17 |