NPI | 1871595215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP14230) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201150093NP) |
Enumeration Date | 2005-08-15 |
Last Update Date | 2019-07-25 |