NPI | 1881213874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013856) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95013856) |
Enumeration Date | 2020-04-10 |
Last Update Date | 2020-04-26 |