| NPI | 1225450919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 23767) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 581350) |
| 363L00000X Nurse Practitioner (Licence: CA 23767) | |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2024-11-07 |