NPI | 1891001848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23651) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9265099) |
Enumeration Date | 2010-08-27 |
Last Update Date | 2015-05-19 |