NPI | 1992841639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 16308) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 651233) |
364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: CA 2437) | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2009-08-10 |