| NPI | 1831112754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA RN508763) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP13828) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2011-11-03 |