| NPI | 1124839170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 2024056531) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: CA 702883) |
| 163WM0705X Registered Nurse Medical-Surgical (Licence: CA 702883) | |
| 163WP1700X Registered Nurse Perinatal (Licence: CA 702883) | |
| 363LF0000X Nurse Practitioner Family (Licence: CA F09240280) | |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-17 |