| NPI | 1326209016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 9502596) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 26672) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 179194) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2024-12-12 |