| NPI | 1750388997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NPF9742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN541799) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2015-12-28 |