| NPI | 1316315286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010783) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95062988) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2021-10-29 |