NPI | 1902830086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 15891) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 593688) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2007-07-08 |