NPI | 1285821025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20453) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA ac3879) |
163W00000X Registered Nurse (Licence: CA 655184) | |
Enumeration Date | 2007-09-25 |
Last Update Date | 2010-11-30 |