NPI | 1497141659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003284) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 38509) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2015-10-26 |