| NPI | 1831587740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 77722) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 836597) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95001990) | |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2024-07-17 |