| NPI | 1407285919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 23043) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5006615) | |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2020-04-28 |