NPI | 1912010703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP14654) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP14654) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2018-03-17 |