| NPI | 1245249812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 442946) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA 13341) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2024-09-18 |