| NPI | 1134675176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NPF95013066) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008833) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2020-05-20 |