| NPI | 1114528981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95018578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95038191) |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2023-06-02 |