NPI | 1902299191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002064) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 829473) |
Enumeration Date | 2015-03-11 |
Last Update Date | 2016-10-10 |