NPI | 1528333481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21667) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 807299) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA 21667) | |
Enumeration Date | 2012-03-12 |
Last Update Date | 2016-04-20 |