NPI | 1073583985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 349415) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 4346) |
Enumeration Date | 2006-01-24 |
Last Update Date | 2009-01-12 |