NPI | 1639577000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002136) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 786137) |
363L00000X Nurse Practitioner (Licence: CA 95002136) | |
Enumeration Date | 2014-12-16 |
Last Update Date | 2018-03-17 |