| NPI | 1699006130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP23789) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 846850) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2022-12-07 |