| NPI | 1417116732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18807) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 251964) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2011-12-16 |