| NPI | 1215493515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95009552) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA NP95009552) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2022-03-05 |