| NPI | 1962777573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: CA 795439) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 795439) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95002578) | |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2016-07-11 |