| NPI | 1790835122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 640421) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 16788) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |