| NPI | 1841774197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: CA 792731) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006657) |
| Enumeration Date | 2018-09-23 |
| Last Update Date | 2021-06-04 |