NPI | 1316484793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001379) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 685076) |
Enumeration Date | 2017-01-24 |
Last Update Date | 2017-01-24 |