| NPI | 1376152371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015385) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 821878) |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-09-09 |