| NPI | 1164477683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 14991) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN538124) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2016-09-21 |