NPI | 1902921273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA RN194583) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 194583NPCERT3684) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2011-03-17 |