| NPI | 1235270398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CA RN502812) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 502812) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95000479) | |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2020-01-13 |