NPI | 1518549054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95026220) |
Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: CA 95223601) |
Enumeration Date | 2021-04-23 |
Last Update Date | 2023-09-30 |