| NPI | 1205107216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 21563) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 765494) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2023-03-07 |