NPI | 1821342924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21883) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 21883) |
363LF0000X Nurse Practitioner, Family (Licence: OR 201403455NP-PP) | |
363LX0106X Nurse Practitioner, Occupational Health (Licence: OR 201403455NP-PP) | |
Enumeration Date | 2012-10-29 |
Last Update Date | 2020-03-27 |