NPI | 1578105789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012814) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95012814) |
Enumeration Date | 2019-10-09 |
Last Update Date | 2020-09-02 |