| NPI | 1902101090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 19038) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 707308) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2017-08-25 |