NPI | 1740517127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC1500X Nurse Practitioner Community Health (Licence: CA NP19446) |
Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: CA RN683646) |
Enumeration Date | 2009-11-05 |
Last Update Date | 2019-12-16 |