| NPI | 1548532344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000079) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 747029) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2013-12-30 |