NPI | 1528506383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95005467) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 65005467) |
Enumeration Date | 2017-02-01 |
Last Update Date | 2021-11-05 |