| NPI | 1891956041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9398113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 588492) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 588492) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 21197) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2023-03-03 |