| NPI | 1952530735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 19003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 645257) |
| 163W00000X Registered Nurse (Licence: TX 854835) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2014-08-04 |