| NPI | 1306367743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F05200817) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 678477) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2022-10-28 |