| NPI | 1811231335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 22294) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 761345) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |