NPI | 1730589953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95001099) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95001099) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP95001099) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95001099) | |
Enumeration Date | 2014-08-25 |
Last Update Date | 2024-09-26 |