NPI | 1710524566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013383) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95013383) |
Enumeration Date | 2019-11-27 |
Last Update Date | 2024-05-23 |