NPI | 1457483489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP756) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN372415) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2012-01-10 |