| NPI | 1669526810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 13981) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 574441) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2021-12-30 |