| NPI | 1619193208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 8552) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 442850) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-07-10 |