NPI | 1619639572 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95018748) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95018748) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95018748) | |
Enumeration Date | 2021-10-07 |
Last Update Date | 2021-12-02 |