| NPI | 1104989516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN 250102) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP 4148) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: CA 20570) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |