| NPI | 1356841514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95011284) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: CA 95011284) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ F08180855) | |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2022-05-13 |