| NPI | 1750500542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 18818) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 684606) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2014-10-31 |