| NPI | 1851476642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 7269) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN246446) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2012-03-07 |