| NPI | 1891995569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 5435) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 204949) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-08-21 |