| NPI | 1205228699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 22020) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 593704) |
| 363L00000X Nurse Practitioner (Licence: CA 593704) | |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2023-05-09 |