| NPI | 1679974539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95002927) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 809794) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 809794) | |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2019-12-17 |