| NPI | 1386080919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 22750) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 651009) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2021-09-08 |