NPI | 1245505767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21967) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 500006) |
163WS0200X Registered Nurse, School (Licence: CA 30239486) | |
Enumeration Date | 2012-03-16 |
Last Update Date | 2012-08-09 |