| NPI | 1508243452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21489) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 458695) |
| 163W00000X Registered Nurse (Licence: OR 201340838RN) | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |