| NPI | 1871676759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 16898) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 546193) |
| 363A00000X Physician Assistant (Licence: CA PA22652) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-10-29 |