NPI | 1669897963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000403) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
364S00000X Clinical Nurse Specialist (Licence: CA 3907) | |
Enumeration Date | 2014-02-23 |
Last Update Date | 2024-02-09 |