| NPI | 1043470271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 18335) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 683389) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-07-21 |