| NPI | 1124653761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95014483) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 799861) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-12-10 |