| NPI | 1710984828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 13433) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 602107) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2010-06-24 |