NPI | 1902484587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016916) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95016926) |
Enumeration Date | 2021-04-01 |
Last Update Date | 2023-06-26 |