| NPI | 1407535933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95024007) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: CA 688140) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-04-15 |