NPI | 1144450354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 508836) |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: CA 508836) |
Enumeration Date | 2009-07-22 |
Last Update Date | 2013-11-27 |