| NPI | 1023640935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015521) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 744918) |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2023-07-06 |