NPI | 1881149797 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9172946) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004658) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95004658) | |
Enumeration Date | 2016-08-20 |
Last Update Date | 2022-12-22 |