| NPI | 1386681435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 14577) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 378660) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2015-08-13 |