NPI | 1194970574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP 18177) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 719487) |
163W00000X Registered Nurse (Licence: MD R 175167) | |
Enumeration Date | 2008-11-26 |
Last Update Date | 2008-11-26 |