NPI | 1538518949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004453) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR12997200) |
Enumeration Date | 2016-06-07 |
Last Update Date | 2020-09-09 |