| NPI | 1922542083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 816309) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95005660) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2022-07-29 |