| NPI | 1780117663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006176) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 540304) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-18 |