NPI | 1740530625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19337) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 604563) |
Enumeration Date | 2012-09-18 |
Last Update Date | 2012-09-18 |