NPI | 1528441433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95035050) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08428) |
Enumeration Date | 2015-07-09 |
Last Update Date | 2025-08-18 |