| NPI | 1063736593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP13513) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 547949) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2015-11-03 |