| NPI | 1174701999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 16778) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 640720) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2009-03-30 |