NPI | 1841760170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010240) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 1157666) |
Enumeration Date | 2018-11-29 |
Last Update Date | 2019-01-23 |