| NPI | 1154400802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP15264) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 15264) |
| 208600000X Surgery (Licence: CA NP15264) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2024-04-08 |