| NPI | 1063029007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021637) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 79687) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2022-08-02 |