| NPI | 1568640043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 777) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 308716) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |