| NPI | 1598044844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21049) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 761433) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 21049) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2024-02-12 |