| NPI | 1689239113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 780820) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000788) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |