| NPI | 1801984679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 0124669) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 362492) |
| 163WG0000X Registered Nurse, General Practice (Licence: CA RN 362492) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-10-24 |