NPI | 1285070292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21350) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 738046) |
Enumeration Date | 2013-05-16 |
Last Update Date | 2013-05-16 |