| NPI | 1588744791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 12019) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 515438) |
| 163WA2000X Registered Nurse, Administrator (Licence: CA 12019) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-02-26 |