NPI | 1700241387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016842) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 830045) |
Enumeration Date | 2015-12-23 |
Last Update Date | 2023-09-20 |