NPI | 1831336593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95000667) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC27500) |
171100000X Acupuncturist (Licence: CA 8980) | |
363LF0000X Nurse Practitioner, Family (Licence: CA NP95000667) | |
Enumeration Date | 2009-01-15 |
Last Update Date | 2017-10-23 |