| NPI | 1538503529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23114) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN798348) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-06-10 |