| NPI | 1265503510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 15209) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 396544) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2018-04-05 |