NPI | 1881489334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029373) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP95029373) |
Enumeration Date | 2025-04-14 |
Last Update Date | 2025-08-15 |