| NPI | 1114529377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016184) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: CA 534865) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2020-12-15 |