NPI | 1811273972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 22122) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 696972) |
Enumeration Date | 2011-11-02 |
Last Update Date | 2015-09-29 |