| NPI | 1215210976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95022071) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R196226) |
| 163WE0003X Registered Nurse, Emergency (Licence: CA 95153639) | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2022-09-20 |