| NPI | 1790812782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse Ambulatory Care (Licence: CA RN563421) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA NPF11437) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |