| NPI | 1124419742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95001999) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 836579) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2024-01-17 |