| NPI | 1992158315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95012268) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CT 112732) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT F06161252) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2021-04-26 |