| NPI | 1518209444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 23103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 797491) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2016-02-03 |