| NPI | 1619335551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP 95002984) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 804274) |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2017-04-20 |