NPI | 1710406384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011375) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R223002) |
Enumeration Date | 2017-09-14 |
Last Update Date | 2019-03-28 |