NPI | 1891884334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 11924) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 11924) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2022-03-28 |