| NPI | 1740618420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23320) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 753737) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2015-12-31 |