NPI | 1427083476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 8442) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 8442) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2017-01-18 |