NPI | 1366548968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 183998) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA UP001156C) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2007-07-08 |