NPI | 1598030587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20912) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 20912) |
Enumeration Date | 2012-03-09 |
Last Update Date | 2020-01-14 |