NPI | 1912096942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 15058) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 868844) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2022-02-11 |