| NPI | 1346670718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95011770) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 5570) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2022-07-22 |