NPI | 1386989085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22726) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 781264) |
Enumeration Date | 2012-12-06 |
Last Update Date | 2013-04-16 |