NPI | 1932869732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016299) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016299) |
Enumeration Date | 2021-12-21 |
Last Update Date | 2022-08-02 |