NPI | 1811688781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025309) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95025309) |
Enumeration Date | 2023-05-19 |
Last Update Date | 2024-07-24 |