| NPI | 1952847626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 838750) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95005726) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2019-10-08 |