| NPI | 1356912208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95023091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95085025) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-01-23 |