| NPI | 1285241695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95015390) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95174095) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2024-06-17 |