| NPI | 1710401229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019857) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: CA 95063355) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-05-19 |