| NPI | 1174894067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009682) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 805272) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2021-02-02 |