NPI | 1740637388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001185) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI 00183) |
Enumeration Date | 2016-05-23 |
Last Update Date | 2016-05-23 |