NPI | 1588808349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15257) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 362664) |
Enumeration Date | 2009-04-23 |
Last Update Date | 2016-02-16 |