| NPI | 1154943769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95016344) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95149232) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61082736) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2022-02-28 |