NPI | 1851901037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021344) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI 2977) |
Enumeration Date | 2020-08-03 |
Last Update Date | 2022-10-03 |