| NPI | 1629189055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 6767) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN417384) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-03-07 |