| NPI | 1194279778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95019917) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95095206) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2023-10-12 |