| NPI | 1821324583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 19373) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 708241) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2020-06-11 |