| NPI | 1285041012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95005506) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95112029) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2018-07-11 |