| NPI | 1487639126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61529076) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN403128) |
| 363L00000X Nurse Practitioner (Licence: CA NP 11433) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 11433) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2024-03-06 |