| NPI | 1326316241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 20713) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP20713) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP20713) | |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2025-07-08 |