NPI | 1548384381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN469927) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF14563) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2007-07-08 |