| NPI | 1851375372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP11348) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN562208) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2013-12-04 |