NPI | 1003940503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20391) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 191384) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2012-01-20 |