| NPI | 1821342924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 21883) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: CA 21883) |
| 363LF0000X Nurse Practitioner Family (Licence: OR 201403455NP-PP) | |
| 363LX0106X Nurse Practitioner Occupational Health (Licence: OR 201403455NP-PP) | |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2020-03-27 |