NPI | 1174779193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95006266) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 584535) |
Enumeration Date | 2008-08-10 |
Last Update Date | 2018-08-28 |