| NPI | 1942734777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005702) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 178572) |
| 163W00000X Registered Nurse (Licence: CA 830021) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2020-06-03 |