| NPI | 1376766543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18783) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 375500) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2012-11-19 |