NPI | 1356571624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20548) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 742853) |
Enumeration Date | 2009-07-21 |
Last Update Date | 2013-12-11 |