NPI | 1841272051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001178) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01661) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95001178) | |
Enumeration Date | 2005-11-15 |
Last Update Date | 2023-03-07 |