| NPI | 1225292410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 202003013NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP18110) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP18110) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2021-08-23 |