NPI | 1538727607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011900) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 765764) |
163WH0200X Registered Nurse, Home Health (Licence: CA 765764) | |
Enumeration Date | 2019-06-03 |
Last Update Date | 2025-03-26 |