NPI | 1740942481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018575) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95018575) |
Enumeration Date | 2021-10-11 |
Last Update Date | 2023-03-04 |