| NPI | 1629023783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 361736) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA snp9104) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-06-30 |