NPI | 1982714242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 13677) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 522033) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-07-08 |