| NPI | 1780667071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP11591) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA RN375983) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2009-06-04 |