| NPI | 1902299191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002064) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 829473) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2016-10-10 |