| NPI | 1184011710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004461) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2289259.) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2022-01-03 |