| NPI | 1073718862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA 565496) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 17355) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2007-07-08 |