NPI | 1922087683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA FNP13302) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 505668) |
Enumeration Date | 2006-01-11 |
Last Update Date | 2011-07-05 |