| NPI | 1174157077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95016593) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: CA 849798) |
| 207P00000X Emergency Medicine (Licence: CO 1620929) | |
| 363LF0000X Nurse Practitioner Family (Licence: CO 0995611) | |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2021-04-01 |