NPI | 1194070623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: CA 7271) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 7271) |
Enumeration Date | 2012-07-20 |
Last Update Date | 2012-07-20 |