NPI | 1124390224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21566) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 766380) |
Enumeration Date | 2012-02-03 |
Last Update Date | 2016-09-05 |