| NPI | 1730654658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95009820) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN685575) |
| Enumeration Date | 2018-10-07 |
| Last Update Date | 2023-01-23 |