| NPI | 1518046184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP9598) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN168622) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2019-11-05 |