| NPI | 1407471238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95014662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95102139) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-07-14 |