| NPI | 1376502039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 15664) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: CA 15664) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2023-11-08 |