NPI | 1649408329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA RN546883) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 13703) |
Enumeration Date | 2009-07-01 |
Last Update Date | 2010-04-12 |