| NPI | 1306556618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021942) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95234343) |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-11-28 |