NPI | 1700362761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95018787) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2473) |
Enumeration Date | 2018-07-12 |
Last Update Date | 2023-01-30 |