NPI | 1548691736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017941) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60436140) |
Enumeration Date | 2013-12-12 |
Last Update Date | 2021-09-24 |