| NPI | 1114217254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 469971) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2021-10-27 |