| NPI | 1538416904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 22255) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 814277) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 22255) | |
| Enumeration Date | 2012-08-05 |
| Last Update Date | 2017-12-04 |