| NPI | 1154465383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP9873) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN365714) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2016-03-17 |