| NPI | 1245726199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95011084) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 752773) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2021-11-18 |