| NPI | 1841625712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23760) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 804300) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2017-06-28 |