NPI | 1619750965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95031642) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.012197) |
Enumeration Date | 2023-08-18 |
Last Update Date | 2025-03-31 |