| NPI | 1740506575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19415) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: CA 509396) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2021-01-25 |