| NPI | 1740471978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN356949) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP 13577) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-06 |