NPI | 1023437159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000659) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 732214) |
Enumeration Date | 2014-04-16 |
Last Update Date | 2015-08-21 |