| NPI | 1235842535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP9521171) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 586557) |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-07-03 |