NPI | 1841460797 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009388) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 731387) |
246RP1900X Technician, Pathology, Phlebotomy | |
Enumeration Date | 2008-03-06 |
Last Update Date | 2018-12-11 |