NPI | 1174912752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95001579) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN 284796) |
Enumeration Date | 2015-01-20 |
Last Update Date | 2015-02-06 |