NPI | 1770295131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023348) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95023348) |
Enumeration Date | 2022-12-16 |
Last Update Date | 2023-01-24 |