NPI | 1861519233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF14321) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN583581) |
364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA CNS1906) | |
Enumeration Date | 2007-03-23 |
Last Update Date | 2007-07-18 |