| NPI | 1982714242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 13677) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 522033) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |