NPI | 1467818294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95005018) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9366271) |
Enumeration Date | 2016-01-09 |
Last Update Date | 2016-11-16 |