| NPI | 1174174361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA F12180372) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 662213) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA F12180372) | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |