| NPI | 1104365766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP950005952) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95005952) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2023-11-27 |