| NPI | 1134684657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95011756) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN679946) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2024-03-28 |