NPI | 1538264817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 16012) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN581341) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2021-01-27 |