NPI | 1669979761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95013657) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2320451) |
Enumeration Date | 2018-04-06 |
Last Update Date | 2020-07-30 |