| NPI | 1780881482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 15854) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 583576) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2016-11-10 |