NPI | 1477864908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: CA 15080) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 15080) |
Enumeration Date | 2010-06-30 |
Last Update Date | 2018-03-17 |