NPI | 1821232778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP17592) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP17592) |
363LF0000X Nurse Practitioner, Family (Licence: CA NP17592) | |
Enumeration Date | 2009-04-22 |
Last Update Date | 2017-06-23 |