| NPI | 1386337012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95024066) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95248280) |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |