NPI | 1912030453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 14498) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 598883) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2024-02-27 |