| NPI | 1467563759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15976) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 342743) |
| 163W00000X Registered Nurse (Licence: CA 579168) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-10-19 |