| NPI | 1548334584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 467252) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN467252) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2016-01-12 |