NPI | 1750659793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 21204) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 21204) |
Enumeration Date | 2011-12-05 |
Last Update Date | 2013-12-27 |