| NPI | 1366566184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA RN526195) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NPF10788) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |