NPI | 1366548372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF4529) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 256495) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2014-02-11 |