NPI | 1659765212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95007981) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 687133) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307594) | |
Enumeration Date | 2015-03-22 |
Last Update Date | 2021-10-04 |