| NPI | 1912492216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009482) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 821931) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-07-30 |