| NPI | 1700918737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse Ambulatory Care (Licence: CA RN235894) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA NP9584) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |