| NPI | 1780661512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 14148) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 456921) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2014-04-04 |