| NPI | 1629240049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP17392) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN585873) |
| 163WC1500X Registered Nurse Community Health (Licence: CA PHN69084) | |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2022-01-03 |