NPI | 1538291562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NPF9496) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN352832) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2012-02-29 |