| NPI | 1639177488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 508414) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2023-06-14 |