| NPI | 1912016619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 15095) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 570078) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-12 |