| NPI | 1164639225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15014) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 568369) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2021-08-24 |