| NPI | 1851614887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 19155) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 661214) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2018-10-26 |