| NPI | 1043458680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95027555) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN237182) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2024-09-09 |