NPI | 1306014436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 15293) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 15293) |
Enumeration Date | 2008-02-11 |
Last Update Date | 2009-03-26 |