| NPI | 1609978410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP11489) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN321142) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2012-02-15 |