| NPI | 1104682020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F07240492) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95157659) |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-07-11 |