| NPI | 1114255056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP18736) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN624348) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2022-01-14 |