NPI | 1588655229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 13191) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 2435) |
363L00000X Nurse Practitioner (Licence: CA 13191) | |
Enumeration Date | 2005-11-02 |
Last Update Date | 2018-03-17 |