NPI | 1912954686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95011871) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 130028) |
Enumeration Date | 2006-05-28 |
Last Update Date | 2024-02-06 |