NPI | 1609252790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 22202) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 22202) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 22202) | |
Enumeration Date | 2015-07-30 |
Last Update Date | 2015-07-30 |