| NPI | 1508848177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 7385) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP7385) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2011-11-09 |