| NPI | 1831343011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 217162) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CA 217162) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |