| NPI | 1114340130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95000292) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 813030) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2019-11-15 |