| NPI | 1235564345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95007555) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 827456) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2021-06-03 |