| NPI | 1417200684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95001857) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP95001857) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2022-06-03 |