NPI | 1336368976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP10918) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 469068) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2008-12-23 |