| NPI | 1902819261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 16082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 570338) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2014-11-04 |