| NPI | 1821165622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 482522) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 7848) |
| 163WC1500X Registered Nurse Community Health (Licence: CA 50542) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |