NPI | 1316291099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010775) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 802460) |
Enumeration Date | 2012-11-02 |
Last Update Date | 2019-01-03 |