| NPI | 1811391980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 27535) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 657188) |
| 363L00000X Nurse Practitioner (Licence: CA 95014008) | |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2024-06-04 |