NPI | 1073542056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 57502) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP9976) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2019-04-08 |