NPI | 1598882961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: CA NPF11774) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA RN 546703) |
363LF0000X Nurse Practitioner, Family (Licence: CA NPF11774) | |
Enumeration Date | 2007-03-23 |
Last Update Date | 2007-07-26 |