| NPI | 1811179898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP20146) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 20146) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2023-05-02 |