NPI | 1821310236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21456) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 6305P) |
Enumeration Date | 2010-02-26 |
Last Update Date | 2023-03-03 |