| NPI | 1114128386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN394241) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NPF4709) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-08 |