NPI | 1821591652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014521) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: GA 221138) |
163WE0003X Registered Nurse, Emergency (Licence: GA RN221138) | |
363LF0000X Nurse Practitioner, Family (Licence: GA F041800323) | |
Enumeration Date | 2018-03-18 |
Last Update Date | 2021-05-20 |