| NPI | 1396764999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA RN604909) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP15578) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |