NPI | 1356563464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15008) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CA 425068) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2023-06-14 |