| NPI | 1194746214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NPF6549) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN429201) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2013-03-14 |