| NPI | 1184870537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP15048) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 573617) |
| 363L00000X Nurse Practitioner (Licence: CA RN573617) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2021-05-28 |