| NPI | 1114559028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015925) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: CA 766354) |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2021-04-26 |