NPI | 1447557525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 17091) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 640386) |
Enumeration Date | 2011-02-25 |
Last Update Date | 2015-01-06 |