| NPI | 1740276419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP15756) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 15756) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2011-02-15 |