NPI | 1447672027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000570) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 851631) |
Enumeration Date | 2014-01-15 |
Last Update Date | 2014-11-18 |