NPI | 1497057061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: CA 318755) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 19594) |
Enumeration Date | 2010-12-02 |
Last Update Date | 2017-05-25 |