NPI | 1083949135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: CA 18787) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 18787) |
Enumeration Date | 2009-10-07 |
Last Update Date | 2022-08-31 |