| NPI | 1134301070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 19094) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: CA 548606) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2020-03-13 |