NPI | 1952139982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95030654) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95030654) |
Enumeration Date | 2024-07-22 |
Last Update Date | 2024-07-28 |