NPI | 1528429149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 9016) |
Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: CA 361377) |
Enumeration Date | 2016-03-09 |
Last Update Date | 2016-03-09 |