NPI | 1336393776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 6196) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 395898) |
Enumeration Date | 2008-11-12 |
Last Update Date | 2014-12-31 |