| NPI | 1770582231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP8998) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA RN530675) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2007-07-13 |