| NPI | 1477037828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010421) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 676767) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2022-03-02 |