| NPI | 1780751032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF 8192) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 444213) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-11 |