| NPI | 1548565740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 20529) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 625834) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2018-02-27 |