| NPI | 1801967906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 3574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 283102) |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2020-01-15 |