NPI | 1659791986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95013177) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306506) |
Enumeration Date | 2014-04-25 |
Last Update Date | 2023-11-27 |