NPI | 1205011996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 17613) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 282806) |
Enumeration Date | 2008-01-01 |
Last Update Date | 2019-02-06 |