NPI | 1275665200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA RN272107) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NPF4281) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2016-10-14 |