| NPI | 1093168270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95133141) |
| 163W00000X Registered Nurse (Licence: MA RN2307063) | |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2022-11-22 |