| NPI | 1528288719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP17235) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN703157) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2011-06-21 |