| NPI | 1295038503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP20257) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP 20257) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2021-06-08 |