| NPI | 1306202387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002828) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 834392) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2018-12-26 |