| NPI | 1336276328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC RN1046932) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: CA PHN64379) |
| 163WP2201X Registered Nurse Ambulatory Care (Licence: CA RN584726) | |
| 363LF0000X Nurse Practitioner Family (Licence: CA NPF15031) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-12-06 |