| NPI | 1912023177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP12463) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 12463) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-03-10 |