NPI | 1154495620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 16389) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 531287) |
364S00000X Clinical Nurse Specialist (Licence: CA 2476) | |
Enumeration Date | 2006-11-17 |
Last Update Date | 2014-03-25 |