| NPI | 1942574488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007009) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 604263) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201705838NP-PP) | |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2024-08-14 |