NPI | 1316010374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 4262) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 365015) |
363LW0102X Nurse Practitioner, Women's Health (Licence: CA 4262) | |
Enumeration Date | 2006-11-16 |
Last Update Date | 2014-12-17 |