| NPI | 1316133994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22024) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN707957) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2012-08-15 |