NPI | 1184065856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000605) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 658222-1) |
Enumeration Date | 2013-07-10 |
Last Update Date | 2017-01-17 |