NPI | 1801413471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014425) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 866638) |
363LF0000X Nurse Practitioner, Family (Licence: UT 14158069-4405) | |
Enumeration Date | 2020-06-30 |
Last Update Date | 2024-09-27 |