NPI | 1982081261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010788) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 30691) |
Enumeration Date | 2015-05-06 |
Last Update Date | 2020-03-16 |