| NPI | 1043990146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 507183) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95028325) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2024-04-17 |