NPI | 1841878246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023439) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95023439) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-30 |
Last Update Date | 2023-03-08 |