NPI | 1801000237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 16954) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 523371) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2016-06-16 |