| NPI | 1740679794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003547) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 731748) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 1328290) | |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2016-11-14 |