NPI | 1568191807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017872) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95146932) |
Enumeration Date | 2022-06-09 |
Last Update Date | 2023-09-13 |