| NPI | 1194075119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22076) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: CA 494983) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |