NPI | 1174890263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP19541) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN688945) |
Enumeration Date | 2011-11-17 |
Last Update Date | 2016-12-21 |