NPI | 1386992048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP23764) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201242836RN) |
Enumeration Date | 2012-08-28 |
Last Update Date | 2014-05-06 |