NPI | 1295124469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002087) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 820563) |
Enumeration Date | 2015-01-12 |
Last Update Date | 2015-03-06 |