| NPI | 1518198084 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP19410)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 514564)  | 
| Enumeration Date | 2009-08-01 | 
| Last Update Date | 2023-09-18 |