| NPI | 1609959576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 13619) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 603819) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-03-11 |