NPI | 1750500542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 18818) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 684606) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2014-10-31 |