NPI | 1851930168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010583) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95010583) |
Enumeration Date | 2020-01-03 |
Last Update Date | 2020-05-04 |