| NPI | 1285987941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22068) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 22068) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 22068) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 22068) | |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2022-01-31 |