NPI | 1467785428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23094) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 838603) |
163W00000X Registered Nurse (Licence: CO RN.1636152) | |
363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992145-NP) | |
Enumeration Date | 2009-09-09 |
Last Update Date | 2017-02-19 |