| NPI | 1780912782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN571581) |
| 163W00000X Registered Nurse (Licence: CA 733748) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP010529) | |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2024-04-30 |