NPI | 1154745529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23746) |
Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: CA 23746) |
Enumeration Date | 2014-02-05 |
Last Update Date | 2014-02-05 |