| NPI | 1063701225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 470589) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 8132) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2021-04-13 |