| NPI | 1073658340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: CA 152842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF 4137) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |