| NPI | 1447696448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23123) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 797427) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2022-01-03 |