NPI | 1841303476 |
---|---|
Former Name | CHRISTINE IRENE DERBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 5446) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA RN271018) |
367A00000X Advanced Practice Midwife (Licence: CA 334) | |
Enumeration Date | 2006-08-17 |
Last Update Date | 2011-01-03 |