| NPI | 1639293459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN516893) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NPF12798) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |