NPI | 1548948854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95027979) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95086228) |
Enumeration Date | 2023-07-06 |
Last Update Date | 2023-12-12 |