| NPI | 1649425752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 155561) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA Certificate 1636) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |