NPI | 1932594637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002924) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI F1214357) |
Enumeration Date | 2015-03-31 |
Last Update Date | 2025-03-27 |