| NPI | 1174904080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: CA NP23113) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 23113) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2020-03-30 |