| NPI | 1538603089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95007519) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95125717) |
| 163W00000X Registered Nurse (Licence: OH RN.406747) | |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2022-04-03 |