NPI | 1982142097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3143) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95005820) |
Enumeration Date | 2017-02-09 |
Last Update Date | 2023-08-15 |