| NPI | 1306095385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 19686) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN723610) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2010-04-06 |