NPI | 1942527445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19598) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 600749) |
Enumeration Date | 2010-04-23 |
Last Update Date | 2010-04-23 |