| NPI | 1255916912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015050) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 4881) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-11-05 |