NPI | 1861593808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 15845) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 570894) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2012-03-15 |