NPI | 1811469083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 267028) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95010678) |
Enumeration Date | 2018-12-27 |
Last Update Date | 2023-03-23 |