| NPI | 1245794544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009425) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9395222) |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |