NPI | 1518083740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168418) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP9259) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2009-09-24 |