| NPI | 1881896082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95010139) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95074000) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2018-10-26 |