| NPI | 1588671069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 5915) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN267491) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2009-06-16 |