NPI | 1134202948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 14791) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 463002) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2021-02-01 |