| NPI | 1306127964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013933) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 804756) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2022-07-28 |