NPI | 1831198597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19585) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 3304052) |
Enumeration Date | 2005-07-15 |
Last Update Date | 2013-02-05 |