| NPI | 1154620664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 784516) |
| 163W00000X Registered Nurse (Licence: NY 615960) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |