| NPI | 1356950919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95014997) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95224721) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2021-08-23 |