| NPI | 1902009624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 320647) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 4291) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2019-07-29 |