| NPI | 1609933746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP4015) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 229827) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2007-07-08 |