| NPI | 1245683754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NPF95004629) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 752644) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-12-06 |