| NPI | 1144887530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 223872881) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95011673) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2023-11-20 |