NPI | 1871861427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20814) |
Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: CA 752771) |
Enumeration Date | 2011-12-12 |
Last Update Date | 2014-05-20 |