| NPI | 1871753566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP 18595) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 577240) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-11-05 |