| NPI | 1063421741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 16351) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN625651) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-24 |