| NPI | 1750739652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP 9956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 350990) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |