| NPI | 1700915832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN282646) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP4589) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |