NPI | 1508370875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008069) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008069) |
Enumeration Date | 2017-11-25 |
Last Update Date | 2022-05-25 |