| NPI | 1164879219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F1116117) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 842259) |
| 163WE0003X Registered Nurse, Emergency (Licence: CA 842259) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 842259) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-11-10 |