| NPI | 1003158353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP 22808) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN487261) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2023-02-17 |