| NPI | 1336426840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21594) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 518580) |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2024-01-17 |