NPI | 1225243645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP11939) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP 11939) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2019-01-09 |