| NPI | 1063887495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA np95021152) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 534347) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2023-03-16 |