NPI | 1508236993 |
---|---|
Other Name | NICKI HEAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 17313) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 620939) |
Enumeration Date | 2015-09-29 |
Last Update Date | 2015-09-29 |