NPI | 1558967489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016267) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 95016267) |
Enumeration Date | 2020-12-07 |
Last Update Date | 2024-03-04 |