| NPI | 1578995502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP23281) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 647416) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2018-08-28 |