NPI | 1588327365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95016778) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP95016778) |
Enumeration Date | 2021-10-19 |
Last Update Date | 2022-01-25 |