NPI | 1366637183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20461) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 003676) |
Enumeration Date | 2007-09-14 |
Last Update Date | 2018-07-25 |