NPI | 1770222184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021134) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95021134) |
Enumeration Date | 2022-06-02 |
Last Update Date | 2023-09-09 |