| NPI | 1811268725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP 21175) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 694572) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA A0811043) | |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-06-12 |