| NPI | 1215263041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 14121) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3188242) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 1919) | |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2022-04-06 |