| NPI | 1942451208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 18318) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 682512) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-20 |