| NPI | 1316431216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95006223) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 297027) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2023-12-20 |