NPI | 1699298711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006998) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95006998) |
Enumeration Date | 2017-07-20 |
Last Update Date | 2023-08-31 |