| NPI | 1316346323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95009171) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 705211) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2018-09-19 |