| NPI | 1366645756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 153248) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP153248) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |