| NPI | 1689684615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP2483) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN296823) |
| 163WG0000X Registered Nurse, General Practice (Licence: CA RN296823) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2009-06-17 |