NPI | 1588235139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018889) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 95137659) |
363L00000X Nurse Practitioner (Licence: CA NP9501889) | |
Enumeration Date | 2021-07-06 |
Last Update Date | 2024-10-25 |