| NPI | 1073137212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95022027) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR 125340) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2022-11-28 |