NPI | 1962777573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: CA 795439) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 795439) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95002578) | |
Enumeration Date | 2012-03-14 |
Last Update Date | 2016-07-11 |