NPI | 1669131579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021079) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 348686) |
Enumeration Date | 2021-12-08 |
Last Update Date | 2024-04-02 |