NPI | 1447687603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 23659) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 801821) |
Enumeration Date | 2013-10-02 |
Last Update Date | 2020-01-29 |