| NPI | 1053785949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013107) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 755374) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2020-01-30 |