NPI | 1043595788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95003075) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2275882) |
Enumeration Date | 2011-10-13 |
Last Update Date | 2015-11-04 |