NPI | 1417084401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA RN626292) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF14659) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2007-07-08 |