NPI | 1326171984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 12394) |
Additional Taxonomies | 174400000X Specialist (Licence: CA RN487057) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2015-10-22 |