| NPI | 1922116441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 9814) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 451889) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2011-10-14 |