| NPI | 1700297801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95001085) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 797252) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2018-03-17 |