| NPI | 1487847984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 8539) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 262207) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2015-05-21 |