| NPI | 1033787312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016709) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: CA 95016709) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2022-02-11 |