NPI | 1336426840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 21594) |
Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: CA 518580) |
Enumeration Date | 2011-11-11 |
Last Update Date | 2024-01-17 |