| NPI | 1235677881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95006057) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: CA 95094094) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2021-12-30 |