NPI | 1619390960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23753) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1891) |
Enumeration Date | 2014-01-22 |
Last Update Date | 2024-11-12 |