| NPI | 1255414009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 11666) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 255252) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-10-13 |