NPI | 1770508186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15201) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 603880) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2015-03-31 |