NPI | 1386841542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP17299) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 540604) |
Enumeration Date | 2007-06-29 |
Last Update Date | 2010-09-01 |