NPI | 1467708198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 22103) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 707298) |
Enumeration Date | 2012-07-31 |
Last Update Date | 2016-10-12 |