NPI | 1225335920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 20585) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009715) |
Enumeration Date | 2011-02-16 |
Last Update Date | 2015-11-20 |