| NPI | 1518918432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 563055) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 12194) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2007-07-08 |