| NPI | 1396952974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 10383) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 389139) |
| 163WX0800X Registered Nurse, Orthopedic (Licence: CA 389139) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 10383) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-12-13 |