NPI | 1114128386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN394241) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NPF4709) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2007-07-08 |