| NPI | 1053747923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 1659) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 757305) |
| 163W00000X Registered Nurse (Licence: HI 74443) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 23491) | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2015-08-17 |