NPI | 1285827956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F1208135) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200850139NP) |
Enumeration Date | 2007-08-24 |
Last Update Date | 2015-05-21 |