NPI | 1538194303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MA RN275743-NP) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA NP10003) |
207R00000X Internal Medicine (Licence: CA NP10003) | |
Enumeration Date | 2006-07-11 |
Last Update Date | 2022-07-29 |