| NPI | 1134577281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 11587) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 567387) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |