| NPI | 1831424597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 19576) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 549472) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2022-01-03 |