| NPI | 1043590193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP21051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 499911) |
| Enumeration Date | 2011-08-21 |
| Last Update Date | 2011-08-21 |