| NPI | 1508023524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 13611) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 572580) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2024-09-26 |