| NPI | 1801868500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95001678) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 763720) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-04-21 |