| NPI | 1003023946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 14779) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 448089) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-08-23 |