| NPI | 1235504614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95003223) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 642488) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-14 |