NPI | 1053384891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15637) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-082513) |
Enumeration Date | 2006-02-10 |
Last Update Date | 2015-03-30 |