NPI | 1801775259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028018) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95028018) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95028018) | |
Enumeration Date | 2025-08-29 |
Last Update Date | 2025-08-29 |