NPI | 1710331020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95010898) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-127359) |
363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-127359) | |
Enumeration Date | 2016-04-22 |
Last Update Date | 2024-02-12 |