NPI | 1154560639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP17312) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP17312) |
Enumeration Date | 2009-02-06 |
Last Update Date | 2009-02-06 |