| NPI | 1003195603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21040) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 758542) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2022-09-15 |