| NPI | 1174792030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 17962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 680247) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-03-27 |