| NPI | 1417102260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19502) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 321307) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2010-10-19 |