| NPI | 1912151382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 681207) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 681207) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2019-01-16 |