| NPI | 1265569743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 10358) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA RN500928) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-11-29 |