NPI | 1154465383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP9873) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN365714) |
Enumeration Date | 2007-02-19 |
Last Update Date | 2016-03-17 |