| NPI | 1548334584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 467252) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA55239) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-07-17 |