| NPI | 1255355616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 14388) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 534099) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-09-18 |