| NPI | 1679924724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95016189) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 780484) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2021-07-22 |