| NPI | 1699743815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 576556) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 12259) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2022-01-27 |