NPI | 1003353723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 767212) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: CA 95005673) |
Enumeration Date | 2017-01-20 |
Last Update Date | 2017-01-26 |