| NPI | 1417323734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95006651) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95065698) |
| 363L00000X Nurse Practitioner (Licence: CA 95006651) | |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2018-09-10 |