NPI | 1710036108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN308585) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NPF1229) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2007-07-08 |