NPI | 1881103877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP6521) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP6521) |
363LS0200X Nurse Practitioner, School (Licence: CA NP6521) | |
Enumeration Date | 2017-09-22 |
Last Update Date | 2017-09-22 |