NPI | 1346532397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 302356) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP20503) |
Enumeration Date | 2011-05-10 |
Last Update Date | 2018-09-19 |