NPI | 1205104726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 264649) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F0911050) |
Enumeration Date | 2011-12-12 |
Last Update Date | 2021-11-29 |