| NPI | 1114637568 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022938)  | 
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 803216)  | 
| Enumeration Date | 2022-11-28 | 
| Last Update Date | 2022-11-28 |