| NPI | 1508252537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002490) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: CA 844073) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2020-03-26 |