NPI | 1629591938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029942) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 207097) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2024-05-24 |