NPI | 1891827820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: CA RN444484) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NPF6664) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2007-07-08 |