NPI | 1861275067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025636) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 95025636) |
Enumeration Date | 2023-08-14 |
Last Update Date | 2024-09-23 |