NPI | 1740276419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP15756) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 15756) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2011-02-15 |