| NPI | 1497030241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 21039) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 754518) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2012-12-18 |