NPI | 1134527641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002007) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 635899) |
Enumeration Date | 2014-12-15 |
Last Update Date | 2015-01-30 |