NPI | 1841449899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 10525) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CA 2154) |
Enumeration Date | 2008-09-15 |
Last Update Date | 2008-09-15 |