| NPI | 1154920205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95023932) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024180341) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2023-10-03 |