| NPI | 1366659252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 584739) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 606678) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-01-03 |