| NPI | 1861487092 |
|---|---|
| Professional Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA FNP9930) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN248950) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2012-03-09 |