| NPI | 1639519473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23678) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 719794) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-09-20 |