| NPI | 1497990246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 18763) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 496613) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2021-01-28 |