NPI | 1992249353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005827) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201609121NP-PP) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9382141) | |
363LF0000X Nurse Practitioner, Family (Licence: NY 33 341191) | |
Enumeration Date | 2016-12-05 |
Last Update Date | 2019-03-14 |