NPI | 1326117920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA RN457272) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 52203) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2015-07-31 |