NPI | 1235504614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95003223) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 642488) |
Enumeration Date | 2015-12-10 |
Last Update Date | 2015-12-14 |