NPI | 1851989990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018024) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1010846) |
Enumeration Date | 2021-01-05 |
Last Update Date | 2021-08-06 |