| NPI | 1609086230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA 3524111) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CA 3524111) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 3524111) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |