| NPI | 1811972110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP15184) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP15184) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2014-07-23 |