NPI | 1306851787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 4925) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 371046) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2012-02-21 |