| NPI | 1861772402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 20615) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5015498) |
| 163W00000X Registered Nurse (Licence: CA 683207) | |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2022-04-21 |