| NPI | 1740323732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 7759) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 384972) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-12-26 |