| NPI | 1669734026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 758308) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 21562) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2023-06-23 |