| NPI | 1366580201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 16006) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA RN484358) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2018-03-19 |