| NPI | 1184375073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95023145) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95269629) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2024-10-01 |