NPI | 1457573883 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 436711) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 436711) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2015-03-09 |