| NPI | 1629302526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 19086) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 652993) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 19086) | |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2020-01-15 |