NPI | 1538571088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000776) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 816743) |
Enumeration Date | 2014-06-02 |
Last Update Date | 2016-04-14 |