| NPI | 1114940111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 7452) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 388958) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-07-18 |