NPI | 1023031028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 11095) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 324311) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2013-12-26 |