| NPI | 1073976528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008154) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 611738) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2023-06-05 |