| NPI | 1730315508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 17212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 701740) |
| Enumeration Date | 2009-06-06 |
| Last Update Date | 2010-05-25 |