NPI | 1528115235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21283) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA CA563543) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN158320) | |
363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0000051-C-NP) | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2015-05-23 |