| NPI | 1801332242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95005988) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 801560) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2021-08-31 |