| NPI | 1174779193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95006266) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 584535) |
| Enumeration Date | 2008-08-10 |
| Last Update Date | 2018-08-28 |