| NPI | 1780026294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23124) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 797429) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 23124) | |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2021-02-02 |