NPI | 1538699236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013188) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 55892) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2020-06-01 |