| NPI | 1043670466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021005093) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 468363) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: MO 2021005093) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95003274) | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2024-02-22 |