NPI | 1457322620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: CA 629639) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024171294) |
Enumeration Date | 2006-01-27 |
Last Update Date | 2013-11-14 |