| NPI | 1336160456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NPF15476) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 110739) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2023-06-22 |