NPI | 1578891628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP19468) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 609044) |
363LA2100X Nurse Practitioner, Acute Care (Licence: CA 609044) | |
Enumeration Date | 2009-12-01 |
Last Update Date | 2015-10-19 |