NPI | 1699389692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95025388) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 10026130) |
Enumeration Date | 2020-09-07 |
Last Update Date | 2024-07-15 |