| NPI | 1295287613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95005761) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704310935) |
| 163W00000X Registered Nurse (Licence: OH 383418) | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2023-10-20 |