NPI | 1770514697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 14566) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APN000812) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2016-09-23 |