NPI | 1578086559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006918) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60787298) |
Enumeration Date | 2017-07-20 |
Last Update Date | 2025-09-12 |