NPI | 1992942478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18765) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 710427) |
163W00000X Registered Nurse (Licence: NJ 26NR11166600) | |
Enumeration Date | 2009-01-21 |
Last Update Date | 2013-01-15 |