NPI | 1720796378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95032165) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 95245051) |
163WI0500X Registered Nurse, Infusion Therapy (Licence: CA 95245051) | |
Enumeration Date | 2022-11-14 |
Last Update Date | 2025-05-14 |