| NPI | 1639507411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 23660) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 809870) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2015-09-12 |