NPI | 1518532795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95024110) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95245481) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95024110) | |
Enumeration Date | 2021-05-20 |
Last Update Date | 2023-03-10 |