NPI | 1043590193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP21051) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 499911) |
Enumeration Date | 2011-08-21 |
Last Update Date | 2011-08-21 |