| NPI | 1245505767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21967) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 500006) |
| 163WS0200X Registered Nurse, School (Licence: CA 30239486) | |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-08-09 |