| NPI | 1235404849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LS0200X Nurse Practitioner, School (Licence: CA 225347) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CA 225347) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-20 |