| NPI | 1295170298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21854) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 775204) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2015-07-17 |