| NPI | 1982990792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21042) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 755327) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 21042) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2024-02-12 |