NPI | 1265860167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23292) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 23292) |
Enumeration Date | 2013-10-31 |
Last Update Date | 2015-04-23 |