| NPI | 1407855018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 336369) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 0350311-22) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: CA 2051-0093) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2017-05-02 |