NPI | 1659930485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010904) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP020368) |
Enumeration Date | 2019-06-05 |
Last Update Date | 2024-04-24 |