| NPI | 1871843375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21958) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 587759) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2019-08-28 |