| NPI | 1356063291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15340) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95022054) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2024-12-09 |