| NPI | 1174172423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013621) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95059222) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2023-05-26 |