| NPI | 1174697882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 13239) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 13239) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2014-06-04 |