NPI | 1699287995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007444) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95007444) |
Enumeration Date | 2017-10-27 |
Last Update Date | 2020-04-14 |