NPI | 1982710174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 13365) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA NP13365 - RN557944) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2016-11-03 |