| NPI | 1316584030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 724127) |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2020-11-04 |