NPI | 1689324253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020414) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95020414) |
Enumeration Date | 2022-03-26 |
Last Update Date | 2022-10-31 |