NPI | 1942378690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 559889) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006629) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2015-08-24 |