NPI | 1801367610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010912) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 233794) |
Enumeration Date | 2018-12-06 |
Last Update Date | 2020-01-15 |