| NPI | 1336722099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NPF95019015) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95137867) |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2022-03-10 |