| NPI | 1942632815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 842821) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2021-01-28 |